Individual provider Active NPI

Todd Adam Levenstien, D.P.M.

  • Foot Surgery Podiatrist
  • Lindenhurst, NY
National Provider Identifier
1649273103
Registry record updated Jan 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N0059441 Issued in NY
Practice address
481 W Montauk Hwy
Lindenhurst, NY 11757-5528
Phone
(631) 226-3668
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N0059441 NY Primary

Addresses

Primary practice location

481 W Montauk Hwy
Lindenhurst, NY 11757-5528

Mailing address

PO Box 205
Huntington Station, NY 11746-0169
Phone (631) 226-3668

Other identifiers 2

IdentifierTypeStateIssuer
PJ108PEA81OtherNYINDIVIDUAL PIN - LIFS
PEWA81OtherNYGROUP PIN - LIFS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040319000642 NY Practitioner - Podiatry 5395643936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Island Foot Specialist P CGroup PAC ID 4183623754, 2 clinicians

Practice addresses (Care Compare)

481 W Montauk Hwy
Lindenhurst, NY 11757-5528
Phone 63122636681

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N0059441NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Foot Specialist P C Foot Surgery CurrentSince Oct 26, 2006 Accepting new patients
Don S. Cooper DC PC Past Accepting new patients
Affiliated Podiatrists of South Jersey LTD Foot Surgery PastSince Oct 19, 2010 Accepting new patients

Locations

481 W Montauk Hwy
Lindenhurst, NY 11757
Phone (631) 226-3668

1171 Old Country Rd
Ste 5
Plainview, NY 11803
Phone (516) 933-3323

5976 Route 25A
Wading River, NY 11792
Phone (631) 345-3035

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/7753d029-0f68-4c26-8081-55eb23bb5866/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484956800000",
    "number": "1649273103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 205",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117460169",
            "telephone_number": "631-226-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 W MONTAUK HWY",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117575528",
            "telephone_number": "631-226-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENSTIEN",
        "first_name": "TODD",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2017-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N0059441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PIN - LIFS",
            "identifier": "PJ108PEA81",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PIN - LIFS",
            "identifier": "PEWA81",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, NY

Sources for this page

Verify at the official NPI Registry.